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.国际功能、残疾和健康分类-脊髓损伤的核心组合ICFCoreSetsforSCI.2功能与残疾的综合模式.3环境因素个人因素相关因素活动身体功能与身体结构参与健康状况(疾病、外伤)功能与残疾的综合模式.4健康状况•健康状况是疾病、疾患、损伤或者外伤的总称•健康状况可以包括其他情况，

例如老龄、应激、先天畸形以及遗传因素等•健康状况使用ICD-10作为标准编码.5环境因素个人因素相关因素活动身体功能与身体结构参与慢性膝关节不稳M23.5功能与残疾的综合模式.6身体功能与身体结构•身体功能指身体的生理功能

，包括心理功能•身体结构指身体的解剖结构，例如器官、肢体和相关部件–相当于障碍Impairments.7环境因素个人因素相关因素活动疼痛、关节稳定性、交叉韧带参与慢性膝关节不稳M23.5功能与残疾的综

合模式.8活动与参与•活动指个人执行任务或者个人的行动，代表个体功能•参与指参加生活环境的活动，代表社会功能–活动限制–参与限制.9环境因素个人因素相关因素携带物体、弯膝、步行、攀爬疼痛、关节稳定性、交叉韧带照顾孙子、家务、协助丈夫工作慢性

膝关节不稳M23.5功能与残疾的综合模式.10环境因素•人们居住和生活的物理、社会和态度环境–环境因素是个人之外的因素•积极因素(facilitator)•消极因素(barrier).11-住在4楼，无电梯+使用拐杖/康复/药物治

疗个人因素相关因素携带物体、弯膝、步行、攀爬疼痛、关节稳定性、交叉韧带照顾孙子、家务、协助丈夫工作慢性膝关节不稳M23.5功能与残疾的综合模式.12个人因素•包括性别、年龄、人种、体质、生活方式、习惯、社会背景、其它

社会功能.13-住在4楼，无电梯+使用拐杖、康复治疗、药物治疗60岁，生性积极相关因素携带物体、弯膝、步行、攀爬疼痛、关节稳定性、交叉韧带照顾孙子、家务、协助丈夫工作慢性膝关节不稳M23.5功能与残疾的综合模式.14身体结构

和功能障碍活动受限参与限制残疾.15身体结构和功能与参与活动功能改善.16功能改善.17ICF是国际通用的描述功能、残疾和健康状况的国际语言和概念Healthcondition(disease,trauma)EnvironmentalfactorsPersona

lfactorsContextualfactorsThebiopsychosocialmodeloffunctioninganddisabilityActivityBodyfunctionandbodystructureParticipation

Participation.18Healthcondition(disease,trauma)EnvironmentalfactorsPersonalfactorsContextualfactors功能与残疾的生物心理模式ActivityBodyfunctionandbodystructure

ParticipationParticipation.19健康状况（疾病、外伤）253项环境因素个人因素相关因素384项活动与参与493项身体结构310项身体功能.20b1–b8s1–s8d1–d9e1–e5章ICF–金字塔结构ICF身体功能身体结构活动与参与环境因素个人因素bsde.2

1第一级：身体结构与功能SkinandrelatedstructuresStructuresrelatedtomovementStructuresrelatedtothegenitourinaryandreproductive

systemsStructuresrelatedtothedigestive,metabolicandendocrinesystemsStructuresofthecardiovascular,immunologicalandrespirat

orysystems声音和言语相关的组织结构Theeye,earandrelatedstructuresStructuresofthenervoussystemFunctionsoftheskinandrelatedstructuresNeuromusculoskel

etalandmovement-relatedfunctionsGenitourinaryandreproductivefunctionsFunctionsofthedigestive,metabolican

dendocrinesystemsFunctionsofthecardiovascular,haematological,immunologicalandrespiratorysystems声音和言语功能S

ensoryfunctionsandpainMentalfunctionsChapter8Chapter7Chapter6Chapter5Chapter4Chapter3Chapter2Chapter1身体结构(s)身体功能(b).22第一级：活动与参与主要的生活区域人

际关系家庭区域个人自理活动交流一般任务与需求学习与应用技术社区、社会和公民活动Chapter8Chapter7Chapter6Chapter5Chapter4Chapter3Chapter2Chapter1Chapter9.23第一级：环境因素(e)服务、体系与政策

态度支持与关系自然环境和人类对环境的改造产品与技术Chapter5Chapter4Chapter3Chapter2Chapter1.24b1–b8s1–s8d1–d9e1–e5ChaptersICF–第二级结构ICF身体功能身体结构活动与参与环境因素个人因素bsdeb

110–b899s110–s899d110–d999e110–e5992ndLevel.25第二级结构–举例章节b1脑高级功能Mentalfunction整体脑高级功能(b110–b139)b110意识b114定向b117智力b122整体心理功能b1

26个性b130主观能动性b134睡眠b139非特指的整体心理功能特定的脑高级功能Specificmentalfunctions(b140–b189).26ICFBodyFunctionsbb1100–b7809b

11420–b54509b1–b8b110–b899BodyStructuresss1–s8s110–s899s1100–s8309s11000–s76009Activity&Participationdd1–d9d110–d999d1150–d9309En

vironmentalFactorsee1–e5e110–e599e1100–e5959ICF–三级结构Thehigherthemoreprecise.27b脑高级功能Mentalfunctions一级b1

14定向功能二级b1141地点定向b1142人物定向b11420自我定向b11421他人定向ICF条目举例三级四级.28ICF总条目：1454有多少在特定的疾病需要？临床和科研有何用途？评判标准？.发展ICF核心组合Core

Sets.30瞎子摸象的故事.31ICFandICFCoreSets•确定评定条目•whattomeasure•应用基础：•howtomeasure.32b1b130b134b152b180b1801•••••s299s710s720s730s73001s7301

1••••••••d170d230d360d410d415d430•••••e110e115e120e125e135e150•••1454ICF核心组合.33b1b130b134b152b180b1801•••••s299s710s720s730s73001s73011

••••••••d170d230d360d410d415d430•••••e110e115e120e125e135e150•••1454ICF核心组合特定疾病特定环境.34骨关节炎OA–身体功能b280疼痛的

感觉b710关节活动功能b730肌肉功能b770步态b715关节稳定性b740肌肉耐力b780与肌肉相关的感觉和运动功能b760自主运动的控制b134睡眠功能b735肌肉张力简要ICF核心组合全套ICF核心组合.

35s750下肢结构s730上肢结构s770其它与运动相关的肌肉骨骼结构s740骨盆结构s720肩部结构OA–身体结构简要ICF核心组合全套ICF核心组合.36d450步行d540穿衣d445手和手臂使用d510自我洗浴d470使用交通工具d530如厕d430抬举和携带物品d640做家务d910

社区生活d440手精细活动d410改变身体位置OA–活动与参与简要ICF核心组合全套ICF核心组合.37e115与个人日常生活相关的产品与技术e310近亲e580医疗服务、体系和政策e150公共场合的建筑设计、产

品和技术e355医务人员e540交通服务、体系和政策e120个人室内和室外活动和交通的产品与技术e135就业相关的产品与技术e155私人使用的建筑设计、建造和建筑产品e340个人护理人员和助手OA–环

境因素简要ICF核心组合全套ICF核心组合.38➔定量分级Qualifiers问题的严重程度如何量化已经清楚的?是功能障碍是什么并不清楚的?是b1141.0123489..40定量分级(qualifi

er)0没有问题(无、缺乏、可以忽视等)0-4%1轻度问题(轻、低等)5-24%2中度问题(中等、较好等)25-49%3严重问题(高、极端等)50-95%4全部问题(最严重、全部受累等)96-100%8无法特定(当前的信息无

法确定严重程度)9无法应用(不恰当或者不可能使用).41环境因素双向分级•障碍因素Barrier--•促进因素Facilitator++.42ICFCategories0123489b134Sleepfunctionsb280SensationofPa

inb455Exercisetolerancefunctionsb710Mobilityofjointfunctionsb730Musclepowerfunctionsb740Muscleendurancefunct

ionsb770Gaitpatternfunctionsb780Sensationsrelatedtomusclesandmovementfunctionss710Structureofheadandneckregions720Structureofshou

lderregions730Structureofupperextremitys750Structureoflowerextremityd230Carryingoutdailyroutineb134Sleepfunctions.43.44Rehab-CycleAsse

ssmentEvaluationAssignmentIntervention.45AssessmentEvaluationAssignmentInterventionRehab-CycleICFModelICF&ICFCoreSets.46Diagnosis(ICD-10

)Rehabilitatongoalsteamperspectiveenvironmentalfactorspersonalfactorsbodystructures&functionsactivities&participationpatie

ntperspectiveUsetheICFCoreSets!.47Diagnosis(ICD-10)Rehabilitatongoalsteamperspectiveenvironmentalfactorspersonalfactorsbodystructures&functionsactiv

ities&participationpatientperspective.48AssessmentwiththeICFSheetPatient‘sperspectiveRehabilitationteamperspectiveBo

dy-Structures/FunctionsActivities/ParticipationPersonalFactorsReha-diagnosisICD-10chronicpolyarthritis[ICD:M05.9]EnvironmentalFactorsPaininrightkne

eandshoulderPaininhandsandfingersShortenedmobilityandflexibilitySwellinginfinger,wristandkneejointsDifficultiesingettingdressedProblemsinbrushingteet

handcombinghairDifficultiesinliftingthingsabovetheheadProblemspreparingmealsProblemsdoinghouseworkIhadtogiveupmyjobas

asecretaryAllmyfree-timeactivitiesareaffectedMyintimaterelationshipwithmyhusbandisalsoaffectedbecauseofthepainMedication+Livesinafourthfloo

rflat;Noelevator–Needsaidsforhanduse+,Supportivehusband+Self-helpgroup+Motivated+adequatecopingstrategies+Use

theICF-Core-setsasaChecklist!GoalsofrehabilitationInterventionprogramgoal:Long-termgoal:.49AssessmentwiththeICFSheetPatient‘sperspectiveReha

bilitationteamperspectiveBody-Structures/FunctionsActivities/ParticipationPersonalFactorsReha-diagnosisICD-10chronicpolya

rthritis[ICD:M05.9]EnvironmentalFactorsPaininrightkneeandshoulderPaininhandsandfingersShortenedmobilityandflexibilitySwellinginfinger,wristandkn

eejointsDifficultiesingettingdressedProblemsinbrushingteethandcombinghairDifficultiesinliftingthingsabovetheheadProblemsprep

aringmealsProblemsdoinghouseworkIhadtogiveupmyjobasasecretaryAllmyfree-timeactivitiesareaffectedMyintimaterelationshipwithmyh

usbandisalsoaffectedbecauseofthepainMedication+Livesinafourthfloorflat;Noelevator–Needsaidsforhanduse+,Supportivehusband+Self-helpgr

oup+Motivated+adequatecopingstrategies+b710Mobilityofjointfunctionsb715Stabilityofjointfunctionsb730Muscl

epowerfunctionsb435Immunologicalsystemfunctionss7302Structureofhands73011Wristjoints73021Jointsofhan

dandfingerss75011Kneejoints7502Structureofankleandfootd440Finehandused445Handandarmused430Liftingandcarryingobj

ectsd630Preparingmealsd640Doinghouseworkd4500Walkingshortdistancesd4551ClimbingGoalsofrehabilitationInterventionpr

ogramgoal:Long-termgoal:.50AssessmentwiththeICFSheetPatient‘sperspectiveRehabilitationteamperspectiveBody-Structures/FunctionsActivities/Partic

ipationPersonalFactorsReha-diagnosisICD-10chronicpolyarthritis[ICD:M05.9]EnvironmentalFactorsPaininrightkneeandshoulderPainin

handsandfingersShortenedmobilityandflexibilitySwellinginfinger,wristandkneejointsDifficultiesingettingdr

essedProblemsinbrushingteethandcombinghairDifficultiesinliftingthingsabovetheheadProblemspreparingmealsProblemsdoinghousew

orkIhadtogiveupmyjobasasecretaryAllmyfree-timeactivitiesareaffectedMyintimaterelationshipwithmyhusbandi

salsoaffectedbecauseofthepainMedication+Livesinafourthfloorflat;Noelevator–Needsaidsforhanduse+,Supportivehusband+Se

lf-helpgroup+Motivated+adequatecopingstrategies+ImpairedmobilityofjointsImpairedjointstabilityImpair

edmusclestrengthInflammationparametersinbloodSubluxationofmetacarpophalangeal(MCP)joints2and3right,beginningulnardriftrightDegenerativechanges

infingersFingersandwristjointsswollenRightkneeswollenBothanklejointsswollenHalluxvalguspositiion,right>leftFinehanduseHandandarmuseLiftingand

carryingobjectsPreparingmealsHouseworkWalkingshortdistancesClimbingstairsGoalsofrehabilitationInterventionprogramgoal:Long-termg

oal:.51AssessmentAssignmentInterventionEvaluationREHAB-CycleAssessmentinfoursteps1.Identificationoftheproblemsandne

edsofthepatient,2.Determinationofthelong-term,interventionprogramandcyclegoalsand3.Identificationofin

terventiontargetsrelatedtothecyclegoals..52AssessmentwiththeICFSheetGoalsofrehabilitationInterventionprogramgoal:Independenceinself-care

andhouseworkLong-termgoal:VocationalretrainingPatient‘sperspectiveRehabilitationteamperspectiveBody-Structures/FunctionsActivities/Partic

ipationPersonalFactorsReha-diagnosisICD-10chronicpolyarthritis[ICD:M05.9]EnvironmentalFactorsPaininrightkneeandshoulderPaininhandsa

ndfingersShortenedmobilityandflexibilitySwellinginfinger,wristandkneejointsDifficultiesingettingdressedProblemsinbrushingtee

thandcombinghairDifficultiesinliftingthingsabovetheheadProblemspreparingmealsProblemsdoinghouseworkIhadtogiveupmyjobasasec

retaryAllmyfree-timeactivitiesareaffectedMyintimaterelationshipwithmyhusbandisalsoaffectedbecauseofthepainMedication+Livesinafourthfloorflat;Noeleva

tor–Needsaidsforhanduse+,Supportivehusband+Self-helpgroup+Motivated+adequatecopingstrategies+ImpairedmobilityofjointsImpa

iredjointstabilityImpairedmusclestrengthInflammationparametersinbloodSubluxationofmetacarpophalangeal(MCP)joints2and

3right,beginningulnardriftrightDegenerativechangesinfingersFingersandwristjointsswollenRightkneeswollenBothanklejointsswollenHalluxvalguspo

sitiion,right>leftFinehanduseHandandarmuseLiftingandcarryingobjectsPreparingmealsHouseworkWalkingshort

distancesClimbingstairsGoalsofrehabilitationInterventionprogramgoal:Long-termgoal:.53AssessmentAssignmentInterventionEvaluati

onREHAB-CycleAssessmentinfoursteps1.Identificationoftheproblemsandneedsofthepatient,2.Determinationofthelong-term,interventi

onprogramandcyclegoalsand3.Identificationofinterventiontargetsrelatedtothecyclegoals..54AssessmentwiththeICFSheetPatient‘sperspectiveReh

abilitationteamperspectiveBody-Structures/FunctionsActivities/ParticipationPersonalFactorsReha-diagnosisICD-10chron

icpolyarthritis[ICD:M05.9]EnvironmentalFactorsPaininrightkneeandshoulderPaininhandsandfingersShortenedmobilityandflexibilitySwellinginfinger,wr

istandkneejointsDifficultiesingettingdressedProblemsinbrushingteethandcombinghairDifficultiesinlifti

ngthingsabovetheheadProblemspreparingmealsProblemsdoinghouseworkIhadtogiveupmyjobasasecretaryAllmyfree-timeactivitiesareaff

ectedMyintimaterelationshipwithmyhusbandisalsoaffectedbecauseofthepainMedication+Livesinafourthfloorflat;Noelevator–Needsaidsforhanduse+,Suppor

tivehusband+Self-helpgroup+Motivated+adequatecopingstrategies+ImpairedmobilityofjointsImpairedjointstabilityImpai

redmusclestrengthInflammationparametersinbloodSubluxationofmetacarpophalangeal(MCP)joints2and3right,beginningulnardriftr

ightDegenerativechangesinfingersFingersandwristjointsswollenRightkneeswollenBothanklejointsswollenHalluxvalguspositiion,right>leftFinehanduse

HandandarmuseLiftingandcarryingobjectsPreparingmealsHouseworkWalkingshortdistancesClimbingstairsGoalsofrehabilitationInterventionprogramgoal

:Independenceinself-careandhouseworkLong-termgoal:Vocationalretraining.55AssessmentwiththeICFSheetPatient‘sperspec

tiveRehabilitationteamperspectiveBody-Structures/FunctionsActivities/ParticipationPersonalFactorsReha-diagnosisICD-10chronicpolyarthritis[ICD

:M05.9]EnvironmentalFactorsPaininrightkneeandshoulderPaininhandsandfingersShortenedmobilityandflexibilitySwellinginfing

er,wristandkneejointsDifficultiesingettingdressedProblemsinbrushingteethandcombinghairDifficultiesinliftingthingsa

bovetheheadProblemspreparingmealsProblemsdoinghouseworkIhadtogiveupmyjobasasecretaryAllmyfree-timeactivitiesareaffectedMyintimaterelationshipwithm

yhusbandisalsoaffectedbecauseofthepainMedication+Livesinafourthfloorflat;Noelevator–Needsaidsforhanduse+,Supportivehusband+Self-helpgroup+

Motivated+adequatecopingstrategies+ImpairedmobilityofjointsImpairedjointstabilityImpairedmusclestrength

InflammationparametersinbloodSubluxationofmetacarpophalangeal(MCP)joints2and3right,beginningulnardriftrightDegenerativechangesinfingersF

ingersandwristjointsswollenRightkneeswollenBothanklejointsswollenHalluxvalguspositiion,right>leftFinehanduseHandandarmuse

LiftingandcarryingobjectsPreparingmealsHouseworkWalkingshortdistancesClimbingstairsGoalsofrehabilitati

onInterventionprogramgoal:Independenceinself-careandhouseworkLong-termgoal:Vocationalretraining.56Rehab-CycleAssessmentAssignment.57Asig

nment•HealthProfessionals•Programorservice–Inpatientoroutpatientrehab,homerehab–Typeofspecificservice–Singlevsgroup–Firstintervention,refresher.58Ass

essmentwiththeICFSheetPatient‘sperspectiveRehabilitationteamperspectiveBody-Structures/FunctionsActivities/Part

icipationPersonalFactorsReha-diagnosisICD-10chronicpolyarthritis[ICD:M05.9]EnvironmentalFactorsPaininrightkneeandsh

oulderPaininhandsandfingersShortenedmobilityandflexibilitySwellinginfinger,wristandkneejointsDifficultie

singettingdressedProblemsinbrushingteethandcombinghairDifficultiesinliftingthingsabovetheheadProblemspreparingmealsProblemsdoinghousework

IhadtogiveupmyjobasasecretaryAllmyfree-timeactivitiesareaffectedMyintimaterelationshipwithmyhusbandisalsoaffectedbecauseofthepai

nMedication+Livesinafourthfloorflat;Noelevator–Needsaidsforhanduse+,Supportivehusband+Self-helpgroup+Motivated+adequatecopingstrategies+Impairedmo

bilityofjointsImpairedjointstabilityImpairedmusclestrengthInflammationparametersinbloodSubluxationofmetacarpophalangeal(MCP)joints2and3right,begi

nningulnardriftrightDegenerativechangesinfingersFingersandwristjointsswollenRightkneeswollenBothanklejointsswollenHalluxvalguspositiion,right>lef

tFinehanduseHandandarmuseLiftingandcarryingobjectsPreparingmealsHouseworkWalkingshortdistancesClimbingstairsGoalsofre

habilitationInterventionprogramgoal:Independenceinself-careandhouseworkLong-termgoal:Vocationalretraining.59Asignment•HealthProfessionals•Progr

amorservice–Inpatientoroutpatientrehab,homerehab–Typeofspecificservice–Singlevsgroup–Firstintervention,refresherIntervention.6

0AssessmentAssignmentInterventionRehab-Cycle.61AssessmentwiththeICFSheetPatient‘sperspectiveRehabilitationteamp

erspectiveBody-Structures/FunctionsActivities/ParticipationPersonalFactorsReha-diagnosisICD-10chronicpolyarthritis

[ICD:M05.9]EnvironmentalFactorsPaininrightkneeandshoulderPaininhandsandfingersShortenedmobilityandflexibilitySwellinginfinger,wristandkne

ejointsDifficultiesingettingdressedProblemsinbrushingteethandcombinghairDifficultiesinliftingthingsabovetheheadProblemspreparingmealsProble

msdoinghouseworkIhadtogiveupmyjobasasecretaryAllmyfree-timeactivitiesareaffectedMyintimaterelationshipwithmyhusbandisalsoaffectedbecauseofth

epainMedication+Livesinafourthfloorflat;Noelevator–Needsaidsforhanduse+,Supportivehusband+Self-helpgroup+Motivated+adeq

uatecopingstrategies+ImpairedmobilityofjointsImpairedjointstabilityImpairedmusclestrengthInflammationparametersinbl

oodSubluxationofmetacarpophalangeal(MCP)joints2and3right,beginningulnardriftrightDegenerativechangesinfingersFing

ersandwristjointsswollenRightkneeswollenBothanklejointsswollenHalluxvalguspositiion,right>leftFinehanduse

HandandarmuseLiftingandcarryingobjectsPreparingmealsHouseworkWalkingshortdistancesClimbingstairsGoals

ofrehabilitationInterventionprogramgoal:Independenceinself-careandhouseworkLong-termgoal:Vocationalretraining.62AssessmentEvaluat

ionAssignmentInterventionRehab-Cycle.63AssessmentwiththeICFSheetPatient‘sperspectiveRehabilitationteamperspecti

veBody-Structures/FunctionsActivities/ParticipationPersonalFactorsReha-diagnosisICD-10chronicpolyarthritis[I

CD:M05.9]EnvironmentalFactorsPaininrightkneeandshoulderPaininhandsandfingersShortenedmobilityandflexibilitySwellinginfinger,wristandkneejointsDiff

icultiesingettingdressedProblemsinbrushingteethandcombinghairDifficultiesinliftingthingsabovetheheadProblemspreparingmealsProblemsd

oinghouseworkIhadtogiveupmyjobasasecretaryAllmyfree-timeactivitiesareaffectedMyintimaterelationshipwithmyhusbandisalsoaffectedbecauseofthepainMedicat

ion+Livesinafourthfloorflat;Noelevator–Needsaidsforhanduse+,Supportivehusband+Self-helpgroup+Motivated+adequatecopingstrategies+Impairedmobi

lityofjointsImpairedjointstabilityImpairedmusclestrengthInflammationparametersinbloodSubluxationofmetacarp

ophalangeal(MCP)joints2and3right,beginningulnardriftrightDegenerativechangesinfingersFingersandwristjointsswollenRight

kneeswollenBothanklejointsswollenHalluxvalguspositiion,right>leftFinehanduseHandandarmuseLiftingandcarryingobjectsPreparingmealsHousew

orkWalkingshortdistancesClimbingstairsGoalsofrehabilitationInterventionprogramgoal:Independenceinself-careandhouseworkLong-termgoal:Vocationalr

etraining.64ICFClinicalPractice-RehabCycle•ICFSheet/Model–Referenceforthedocumentationoffunctioningbasedonhistory,ex

amandanalysis–Multi-disciplinarycommunicationandgoalsetting•ICFCoreSets–Guideformulti-disciplinaryassessment–B

asisforinstitutional,professional,nationalorinternationalguidelineshowtomeasurespecificcategories–Guidefortheassignmentofinterventionsandinte

rventionmanagement.65健康相关情况慢性全身性疼痛腰痛骨性关节炎骨质疏松类风湿性关节炎慢性缺血性心脏病糖尿病肥胖阻塞性肺疾病抑郁乳腺癌脑卒中.66Volume36,Supplement44/August2004ICF

CORESETSFORCHRONICCONDITIONSJournalofRehabilitationMedicine.67SCI-ICFConcensusConference•医生•护士•PT•OT•SW•心理学家第一世界第二世界第

三世界白人黑人黄人2007年11月14-19日，瑞士，Nottwil.68.69Nottwil，Swiss.70.71.72.73.74共计35人，分为五组，全体合影.75.76第二组合影.77C5损伤，ASIAA，9年，护士，南非.78T12损伤，ASIA

A，10年，治疗师，越南.79评审会议第一版SCI-ICF核心组合测试和验证ICF核心组合第一版多中心患者数据(ICF为基础的数据采集)专家意见调查表方式文献回顾PhaseIPhaseII初步研究3年患者座谈.80评审原则•挑战：–Asfewasp

ossibleforclinicalpractice–从临床实用的角度，选取尽量少的条目–Asmanyaspossiblefornecessary–从必要性的角度，选取尽量多的条目•时期定义：–Earlypostacutephase–急性期后早期、亚急性

期、积极康复训练期–Startofactiverehabilitationtocompletionofcomprehensiverehabilitation–开始于主动康复介入，结束于全面康复完成.81SCI核心组合-身体

功能b•全套：–亚急性期：62–慢性期：44•核心：–亚急性期：8（肌力、呼吸、肌张力、排尿、大便、皮肤保护、痛觉、情绪）–慢性期：10（肌力、呼吸、肌张力、排尿、大便、皮肤保护、痛觉、情绪、关节活动度、性功能）.82SCI核心组合-身体结

构s•全套：–亚急性期：14–慢性期：19•核心：–亚急性期：3（脊髓及相关结构、呼吸系统结构、泌尿系统结构）–慢性期：4（脊髓及相关结构、呼吸系统结构、泌尿系统结构、皮肤结构）.83SCI核心组合-活动与参与d•全套：–亚急性期：53–慢性期：64•核

心：–亚急性期：6（步行、自我洗浴、如厕、穿衣、吃饭、饮水）–慢性期：8（户外步行、自我转移、改变体位、手/臂使用、如厕、使用交通工具、执行生活常规、使用设备户外活动）.84SCI核心组合-环境因素e•全套：–亚急性期：32–慢性期：41

•核心：–亚急性期：5（个人日常活动相关的产品和技术、与室内和室外活动和交通相关的产品和技术、直系亲属、生活护理者、医务人员）–慢性期：？？.85评审会议第一版SCI-ICF核心组合测试和验证ICF核心组合第一版多中心患者数据(ICF为基础的数据采集)专家

意见调查表方式文献回顾PhaseIPhaseII初步研究3年患者座谈.86PhaseI:审核ICF全套核心项目国际多中心研究医务人员的观点患者的观点.87PhaseII:验证ICF全套核心项目国际多中

心研究医务人员的观点患者的观点.88WHOConference2008.http://www3.who.int/icfwww.ICF-research-branch.orggerold.stucki@med.uni-uenchen.dealarcos.cieza@

med.uni-uenchen.de.90问题•为什么需要共同语言•如何确定共同语言•如何验证共同语言•如何使用共同语言